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Being born in the aftermath of World War II increases the risk for health deficit accumulation in older age: Results from the KORA-Age study.
Eur. J. Epidemiol. 34, 675-687 (2019)
Morbidity trends may result from cohort experiences in critical developmental age. Our objective was to compare the health status of 65-71year-olds who were in critical developmental age before (1937-June 1945), during (June 1945-June 1948) and after (June 1948-1950) the early reconstruction and food crisis (ERFC) period in Germany following World War II. Data originate from the KORA (Cooperative Health Research in the Region of Augsburg)-Age study in Southern Germany. We used the 2008 baseline sample born 1937-1943 and the 2015 enrichment sample born 1944-1950. Health status was assessed as the number of accumulated health deficits using a Frailty Index (FI). Cohorts were defined based on co-occurrence of critical developmental age (gestation and the first 2years of life) and the ERFC period. Cohort, age and sex effects on older-age health status were analyzed using generalized linear models. We included 590 (53% male) pre-war and war (PWW), 475 (51% male) ERFC and 171 post-currency reform (PCR) cohort participants (46% male). Adjusted for covariates, FI levels were significantly higher for the ERFC (Ratio 1.14, CL [1.06, 1.23]) but not for the PCR (Ratio 1.06, CL [0.94, 1.20]) as compared to the PWW cohort. Being in critical developmental age during the ERFC period increased FI levels in adults aged 65-71years. Covariates did not explain these effects, suggesting a direct detrimental effect from being in critical developmental age during the ERFC period on older-age health. This expansion of morbidity in Germany was not detected in the PCR cohort.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Aged ; Health Status ; Deficit Accumulation ; Frailty Index ; Birth Cohorts ; Morbidity Trends; Time Physical-activity; Sociodemographic Factors; Trajectories; Frailty; Compression; Morbidity; Population; Mortality; Outcomes; Trends
ISSN (print) / ISBN
0393-2990
e-ISSN
1573-7284
Journal
European Journal of Epidemiology
Quellenangaben
Volume: 34,
Issue: 7,
Pages: 675-687
Publisher
Springer
Publishing Place
Van Godewijckstraat 30, 3311 Gz Dordrecht, Netherlands
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Reviewing status
Peer reviewed